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Organization
MILLENNIUM MEDICAL INC
Active
Organization
MILLENNIUM MEDICAL INC
Active
Other names
Millennium Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN S SHULMAN (PRACTICE ADMINSTRATOR)
(727) 541-2675
Entity
Organization
Contact information
Practice address
5088 66TH ST N, ST PETERSBURG, FL 33709-3120
(727) 541-2675
(727) 541-3956
Mailing address
5088 66TH ST N, ST PETERSBURG, FL 33709-3120
(727) 541-2675
(727) 541-3956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493287 00
—
FL
Enumeration date
07/01/2006
Last updated
07/13/2010
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